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Home My WebLink About0071 PINE LANE - Health t Q� ry e j�Lan II TOWN OF BARNSTABLE LOCATION `j/ ��e, ` ., SEWAGE # VILLAGE aSiPav,lllP, ASSESSOR'S MAP & LOT Ih INSTALLER'S NAME & PHONE NO. -9 Me,Co-, Ii SEPTIC TANK CAPACITY LEACHING FACILITY:(type) A-r (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE. PERMIT ISSUED: t7 -11 ^9l DATE COMPLIANCE ISSUED: 7, 2-7 ' 9a VARIANCE GRANTED: Yes No o N . .mot.. w N, J _ z -�S ASSESSORS MAP NO: U i PARCEL NO: THE COMMONWEALTH OF MASSACHUSETTS MED BOAR® OF HEALTH TOWN OF BARNSTABLE _. 7 �7 Xplilua#ion for Di-wuiia1 Workii Tons$rA c tittt T i# Application is hereby made for a Permit to Construct ( ) or Repair 4XX) an Individual Sewage Disposal System at: 71 Pine Lane Osterville -------------- ...........-----. ........................-•---•------•--------•--....•-------•-• -------------------------------------------------------- R. Field ..._ Location-Address or Lot No. Owner Address W J.P.Macomber Jr. a -•----•-- .............. Installer Address UType of Building Size Lot............................Sq. feet Dwelling X No. of Bedrooms.............. ............................ Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons........................ Showers a YP g -------------------•-------- P ---- ( ) — Cafeteria ( ) Other fixtures ------------- ---------- ------------- W Design Flow............................................gallons per person per day. Total daily flow---............................_._........._gallons. WSeptic Tank—Liquid'capacity............gallons Length..........:..... Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date.---------- . ------------------------ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ fs, Test Pit No. 2................minutes per inch Depth of.Test Pit---_................ Depth to ground water........................ 9 •••---••-•-••-----------•-••----•-----••-•-•••--••-------•--•••...---•--...-••--•---•••.............................•-----......---••---•--•......•........-- O Descrip n o S il.. ........... A� ••------------------•-•----___•-_--•-_.--..•---____-•....---•---_--•-•----.-_-----••••-.-.-._--- t; Fii �°an �C Oravez------•---••-•-•------- ------------------------------- U ...................................................--•--••-•----••-•-•-•-------••-••••-••--....-----•-•••-••-------•-••----•---------•-•----------••----••-••----••---•....................••----------- W U Nature of Repairs or Alterations—Answer when applicable........................................................................................... 1-1�J�JJ_.. allon tank,1-100J. gallon lead pig. ---------------•-----------------------•-•--......-•-- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has ee issued by the board of health. Signed -1 7/27/92 - ..................-------------- Dace Application Approved By ----- --------- ---- -------- aL - -.................................. Dace Application Disapproved for the following reason = ------------------------------- --------------------------------------------------......---------------------------------------------- ------ - ---- --------------- - ---- -- .....------.--- -------------------------- ............... ..........------. ................. - - -- Dace . Permit No. -- --- ----------------- Issued .. Dare Og No.. �...... Fis.... ....3'J.O� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE � 7 -�'7 Appliratiou for Elhipl tiial Works Tnnitrurtioan ramit Application is hereby made for a Permit to Construct ( ) or Repair *X15 an Individual Sewage Disposal System at: 71 Pine Lane Osterville ................_... -----.......................--•---......_.._........_••-•••-••--••-•-.....- .............------------------------------------------------------------------------------------- R. Field Location-Address ` or Lot No. Owner Address, a &R.Aacomber Jr. _ •. ........... ................... Installer Address Q Type of Building Size Lot............................Sq. feet U Dwelling X No. of Bedrooms.............. ............................Expansion Attic ( ) Garbage Grinder ( ) 4 Other—Type of Building ............... No. of ersons.__.___.........._..._.._... Showers a YP g ------------- P ( ) —,Cafeteria ( ) al Other fixtures ...................... Q _ -------•--------- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid*capacity............gallons Length---------------- Width................ Diameter................ Depth_-....._........ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet....... ............ Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by ----- ---------------------•----------------_-_--------------- Date Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water..-_____-__-_------_---. Gi, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ----••••---------------------••••--••••-•••••-•-----•------•-•••-...-•----------.........•••--------.........................................................O Description of Soil.................. x Sand & Grave 1--- V -----------------------------------------------------•----------------------------------- ------------------------------------•----•-----------_-.-------- --------------•------------ W UNature of Repairs or Alterations—Answer when applicable............................................................................................... ......................................................., ol_-1�� ._.gallon_1eac pig' Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bet issued by the board of health. Signed ...: rtw � ---------------------- ---1 7/27/92. ...,. �.... -- Date.... C Application Approved B �'/ %l '. - ... � PP pp Y :Y /. l -------- - ----- Date Application Disapproved for the following rea.ronfV/................................................................................................................................ Permit %.........//......--------- Issued . ..Dare THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE (gertifirate of GuCm tianrjc TIJI-I�IS�T�O�CCF TIT at the Individual Sewage Disposal System constructed ( ) or Repaired ( XX) by------------------------------------------------------------------------------------------------.................................... --------------------- ------------------------------------ --------------------------------------- Installer ac --......71---- i-ne---- ,an-e.... s t.erv-i ll. ------------------------------------------------- ----------------------------------------------------------------------------------- has been installed in accordance with the provisions of TITL The State Environmental Code as described in the application for Disposal Works Construction Permit No. . --- :.J.n.. dated ................................................ ---...... .� ........J.. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE..................................L..'. .�-- ----� ��Inspector ------....--- ...f.'...a`..----.-------------------------------------............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE 7 _ _ _ FEE..._t_...30.....-..- Bioposa1 Work.5 TLUnn#rnr#ion rrntit j Permission is hereby granted..._).P.Mac omb.e.r Jr. ....... --- to Construct Y(- ) or Re air -(X an Individual Sewa e Disposal System (.l. i l e Lame Cis�ervi lle g p Y at No. /I---------------t/-------JJZ:� •... •. -•-• -•-----•-- •-----•.-•-- n t as shown on the applicatio t for Disposal Works Constructi P Street No.. .__ `! ated___.;__ � �0' -- ----- -- ---- v 9 YES .. ....- / L// �Boar d�o'�Ie Ith y DATE �/ . . // ----------------------•- FORM 36508 MOBBS Q WARREN,INC.,PUBLISHERS